La Estenosis Colónica y Enfermedad de Hirschsprung de Diagnóstico Tardío: Reporte de Caso: Colonic Stricture and Late-Diagnosed Hirschsprung’s Disease: A Case Report

Víctor Javier Avendaño Quequezana; Nancy Roxana Mendoza León; Cathy Lee Alanguia Chipana

Authors

Víctor Javier Avendano Quequezana Servicio de Cirugía Pediátrica y Gastroenterología Pediátrica, hospital de referencia nacional, Lima, Perú. Author https://orcid.org/0009-0002-9772-2159
Nancy Roxana Mendoza León Co-author https://orcid.org/0009-0009-3563-3194
Cathy Lee Alanguia Chipana Co-author

Keywords:

Hirschsprung’s disease, colonic stricture, stercoral colitis, laparoscopy, case report

Abstract

We report the case of a 14-year-old adolescent with chronic constipation, short stature, and severe anemia who presented with self-limited gastrointestinal bleeding. Imaging revealed megacolon and sigmoid colonic stricture. Colonoscopy confirmed the stenosis, and rectal biopsy showed absence of ganglion cells in the submucosal plexus, consistent with Hirschsprung’s disease. After stabilization, the patient underwent a primary laparoscopic pull-through (Georgeson technique) with resection of the aganglionic segment and transanal Soave anastomosis. Postoperative recovery was uneventful, with good continence and no episodes of enterocolitis at two-year follow-up. This case highlights late presentation of Hirschsprung’s disease and its association with uncommon complications such as colonic stricture secondary to stercoral colitis.

Colonic Stricture and Late-Diagnosed Hirschsprung’s Disease: A Case Report